An Analysis of Georgia Schools' Compliance and Implementation of Federally Mandated School Wellness Policies

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Total Pages : pages
Book Rating : 4.:/5 (261 download)

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Book Synopsis An Analysis of Georgia Schools' Compliance and Implementation of Federally Mandated School Wellness Policies by : Eryn M. Marchiolo

Download or read book An Analysis of Georgia Schools' Compliance and Implementation of Federally Mandated School Wellness Policies written by Eryn M. Marchiolo and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Our nation's youth face health challenges today that are drastically different from the health problems of youth in generations past. The drastic rise in childhood obesity rates prompted the 108th Congress to look for an innovative solution to the problem, mandating that each school district receiving federal funding for Free and Reduced Lunch must create and adopt a local wellness policy. This study examines whether relationships exist between Georgia's school districts' wellness policies and specific demographic characteristics of the district. Dependent variables include compliance, phase of implementation, and presence of a school health council. This study conducted univariate analysis using chi square and odds ratio coupled with binary logistic regression. Analysis shows that percent of minority students, as an independent variable, is significantly associated with compliance with the Child Nutrition and WIC Reauthorization Act.

Healthy Eating Environments, Policies and Programs of Michigan Primary and Secondary Schools

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ISBN 13 :
Total Pages : 312 pages
Book Rating : 4.3/5 (129 download)

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Book Synopsis Healthy Eating Environments, Policies and Programs of Michigan Primary and Secondary Schools by : Richard Anthony Miles

Download or read book Healthy Eating Environments, Policies and Programs of Michigan Primary and Secondary Schools written by Richard Anthony Miles and published by . This book was released on 2008 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Interpretation and Implementation of a Wellness Policy and Its Impact on Students

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ISBN 13 :
Total Pages : 198 pages
Book Rating : 4.:/5 (662 download)

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Book Synopsis The Interpretation and Implementation of a Wellness Policy and Its Impact on Students by : Brenda M. Turgeon

Download or read book The Interpretation and Implementation of a Wellness Policy and Its Impact on Students written by Brenda M. Turgeon and published by . This book was released on 2009 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation describes the interpretation and implementation process of a federally mandated Wellness Policy designed to promote a healthy school environment, nutrition education, and physical activity for all school children in order to prevent childhood obesity. Policy administrators were interviewed regarding the Wellness Policy interpretation process of the State and school district levels. Elementary school teachers were surveyed regarding the implementation of the Wellness Policy goals in elementary schools and classrooms. The findings reveal multiple obstacles to the interpretation and implementation of the Wellness Policy, including funding, time constraints, pressures of high-stakes testing, and the affect of No Child Left Behind. The dissertation concludes with implications for further study, with respect to teacher support, policy process, and affects of No Child Left Behind.

An Examination of the Fidelity and Best Practices of Local Implementation of Student Wellness Policies in Virginia Elementary Schools as Mandated by the Federal Government Child Nutrition Reauthorization Act

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ISBN 13 :
Total Pages : 98 pages
Book Rating : 4.:/5 (881 download)

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Book Synopsis An Examination of the Fidelity and Best Practices of Local Implementation of Student Wellness Policies in Virginia Elementary Schools as Mandated by the Federal Government Child Nutrition Reauthorization Act by : Carol Atkinson Lewellyn

Download or read book An Examination of the Fidelity and Best Practices of Local Implementation of Student Wellness Policies in Virginia Elementary Schools as Mandated by the Federal Government Child Nutrition Reauthorization Act written by Carol Atkinson Lewellyn and published by . This book was released on 2014 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examined the extent of local implementation of student wellness policies in Virginia as mandated by the federal Children Nutrition and WIC Reauthorization Act. Using a nonexperimental quantitative design, this study evaluated the content of Virginia school division wellness policies and wellness policy implementation from the perspective of principals in elementary schools. The comprehensiveness and strength of the wellness policies were evaluated using the School Wellness Policy Evaluation tool. Quantitative data were collected from elementary school principals via a survey based on the components of the Governor0́9s Nutrition and Physical Activity Scorecard. Descriptive statistics, analysis of variance, and t-tests were conducted for the wellness policy dataset. Results indicated statistically significant difference in the mean scores for strength of wellness policies written by large school divisions and for school divisions located in cities. Further analysis of differences for practical meaning suggests that school division size and location influences wellness policy strength. There were no statistically significant differences in the policies based on free and reduced lunch qualification of students. Descriptive statistics and analysis of variance on survey responses found no statistically significant differences for wellness policy implementation based on school size, geographic location, or free and reduced qualifications. An examination of the combined data from the content analysis and wellness policy implementation suggests a relationship between written policy and practice. Wellness policy standards written with strong clarifying language were most often implemented in the elementary schools. Nutritional school meal standards and physical activity standards were implemented to a greater extent than other wellness standards. The standard for minimum nutritional standards for other foods and beverages outside of the school meal program and the standard for communication and promotion of wellness were not implemented as often. Evaluation standards were included in the wellness policies but implementation of this standard was not investigated in wellness policy implementation. Based on the findings, it is suggested wellness policy implementation could be extended by strengthening the standards for communication and promotion and other foods and beverages. Recommendations for continued research on wellness policy implementation include designing studies to directly address the correlation between the content of individual school division policies and wellness policy implementation. Further study is also recommended to link student health and wellness data to wellness policy implementation.

A Diffusion Study of the Federally Mandated School Wellness Policy

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (818 download)

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Book Synopsis A Diffusion Study of the Federally Mandated School Wellness Policy by : Dinah Jane Harriger

Download or read book A Diffusion Study of the Federally Mandated School Wellness Policy written by Dinah Jane Harriger and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Using Diffusion of Innovations (DOI) in Organizations as a theoretical framework, this dissertation analyzed the diffusion process of the federally mandated School Wellness Policy (SWP) in three separate studies. Beginning with a content analysis of the SWP mandate's legislative history using the constant comparative method, the first manuscript evaluated the policy Initiation process to provide context for the creation of the original mandate. Next, the researcher conducted a systematic literature review to organize and analyze the current literature on SWP implementation. The third manuscript presented a qualitative case study of one local school district's experience implementing the School Wellness Policy. Interviewing school personnel such as teachers, school nurses, PE teachers, and cafeteria mangers provided key insight to processes involved in policy implementation at the local level. Three key findings emerged from the study: 1) a lack of research on the clarifying stage of the policy diffusion process, 2) the limitation of policy alone in addressing child obesity, and 3) an opportunity for health promotion researchers to engage in policy research. This study is unique because it analyzed the complete diffusion process of the SWP policy, beginning with policy decision making by legislators on the federal level and ending with policy implementation efforts by school district personnel on the local level. Public attention to the child obesity epidemic has grown significantly in the last decade. However, increased awareness is not necessarily indicative of change or improvement of the problem. In the case of the School Wellness Policy (SWP), the federal government attempted to mandate change in the school environment as a way of combating the child obesity epidemic. Although public policy can be effectively used to facilitate change, policy alone is incapable of solving problems as vast and complex as the child obesity epidemic. The SWP has resulted in changes to the school environment; but, this study showed that a societal shift (change across all private and public sectors) is necessary for long term success in combating child obesity.

Potential Factors of Influence on Local Wellness Policies of Georgia Public School Systems

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (233 download)

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Book Synopsis Potential Factors of Influence on Local Wellness Policies of Georgia Public School Systems by : Sandra C. O'Meara

Download or read book Potential Factors of Influence on Local Wellness Policies of Georgia Public School Systems written by Sandra C. O'Meara and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: This study analyzes local wellness policies of 176 Georgia public school systems. The purpose of the study was to analyze potential relationships between demographic characteristics of Georgia school systems and compliance with the Child Nutrition and WIC Reauthorization Act of 2004, as well as the strength of wellness policy goals in the areas of nutrition, physical activity, and other school-based activities. Methods: Demographic data from the Georgia Department of Education were used as independent variables. Compliance ratings and the strength of wellness policy goals were derived from an evaluation tool developed by a research team at Georgia State University's Institute of Public Health as part of a project contracted by the Georgia Department of Education. Analysis was conducted using Pearson's correlation (two-tailed), cross tabulation, and linear regression. Results: Statistically significant positive associations were found between academic performance and strength of overall wellness policy goals (p

A Descriptive Study of School Wellness Policy Quality and Implementation, and Associations with School District Characteristics in San Diego County

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ISBN 13 :
Total Pages : 56 pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis A Descriptive Study of School Wellness Policy Quality and Implementation, and Associations with School District Characteristics in San Diego County by :

Download or read book A Descriptive Study of School Wellness Policy Quality and Implementation, and Associations with School District Characteristics in San Diego County written by and published by . This book was released on 2018 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction Childhood obesity is a major public health concern. Schools are uniquely positioned to positively affect childhood obesity. School districts are required to have a school wellness policy. In 2016, the most recent federal mandate regarding school wellness policies strengthened the communication, implementation, transparency and evaluation component requirements. Previous research has conveyed the need to study implementation in addition to school wellness policy quality. Purpose The purpose of the study was to describe the quality (strength and comprehensiveness) of school wellness policies and implementation of those policies in San Diego county school districts and to determine if there is an association between them. Additionally, this study explored if a relationship exists between school wellness policies, implementation and district characteristics (total enrollment, percentage of students eligible for free and reduced priced meals and ethnicity). Methods This study utilized a cross sectional design. The WellSAT 2.0 was used to assess the quality of school wellness policies. A novel tool was created to analyze implementation of policies based on evidence from school district websites, and was modeled after the WellSAT 2.0. All school district characteristic data were collected from Ed-Data.org for the school year 2016-2017. Results School Wellness Policy total comprehensiveness score was 56.2%, while total strength was 30.4%. Implementation total comprehensiveness was 46.3%, while total strength was 25.5%. No significant relationship was found between the quality of school wellness policies and implementation or between policy quality and various district demographic characteristics. A significant relationship was found between implementation scores and total enrollment. School districts with a dedicated wellness coordinator had higher average policy and implementation scores than districts without. Conclusion Study results will help guide improvements to school wellness policies and implementation transparency in San Diego county by providing an assessment of all San Diego county school districts. Findings suggest that policy and implementation may not be effected by school district demographic characteristics, suggesting equal wellness efforts across diverse districts. Further efforts are needed to develop federal and state level funding and accountability for school district wellness policies and implementation.

Local School Wellness Policies

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Local School Wellness Policies by :

Download or read book Local School Wellness Policies written by and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Child Nutrition and WIC Reauthorization Act of 2004 mandated that school districts participating in any federally reimbursed school meal programs develop a local school wellness policy by the beginning of the 2006â€"07 school year. School districts were required to establish nutritional guidelines for all foods available on the school campus; assure that federally reimbursable school meals meet minimum USDA standards; and establish goals for nutrition education, physical activity and other school-based activities. While the federal mandate included some physical activity language, it did not include specific requirements for addressing physical education. As Congress works to reauthorize the federal legislation that included the local school wellness policy provision, there is real opportunity to help school districts address the nationâ€TMs childhood obesity epidemic. Nearly one-third of U.S. children and teens are now overweight or obese, which increases their risk for heart disease, type 2 diabetes, high blood pressure and a host of other serious conditions. Policy-makers, researchers and advocates are looking for ways to make schools healthier by strengthening local wellness policies; updating nutrition standards for competitive foods, such as those offered in vending machines, à la carte lines and school stores; allowing more time for physical activity; and strengthening nutrition education and promotion efforts. This brief summarizes results of the preliminary evidence on the implementation of local school wellness policies and presents data in three key areas: quality, evaluation and funding of the policies; nutrition standards and nutrition education requirements; and physical activity requirements. While many of the published studies include school districts from across the nation, it is not clear that they accurately represent national data or trends. This brief will be updated as more evidence about the implementation and impact of these policies becomes available.

School District Wellness Policies

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ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.:/5 (16 download)

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Book Synopsis School District Wellness Policies by : Jamie Chriqui

Download or read book School District Wellness Policies written by Jamie Chriqui and published by . This book was released on 2013 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: This brief report updates data published in August 2010 from the most comprehensive, ongoing nationwide analysis of written wellness policies. It includes data from the 2006-07 through the 2010-11 school years, which were the first five years following the required implementation date for wellness policies. The major findings and trends presented identify areas where progress has been made in adopting and strengthening the written policies, as well as opportunities for improvement. New to this report are data relating to the reporting and assessment provisions required by the Healthy, Hunger-Free Kids Act. These data are especially relevant to USDA's (U.S. Department of Agriculture's) proposed rule for competitive foods and beverages, which was released in February 2013, and to the forthcoming proposed rule from USDA related to wellness policies. They also may help inform USDA's efforts to provide technical assistance to school districts regarding their wellness policies, which is required by the Healthy, Hunger-Free Kids Act. In addition, this report helps inform future policies for preventing childhood obesity and will be useful to advocates and state and local officials seeking to create a healthier school environment. This report highlights progress that has been made to implement, strengthen, and/or increase the comprehensiveness of the required wellness policy elements between school years 2006-07 and 2010-11. Consistent with prior reports, the data presented in this paper represent the percentage of students enrolled in public school districts nationwide. (Contains 4 figures and 4 tables.).

Methods Document for the CDC and Bridging the Gap Local School Wellness Policy Briefs

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ISBN 13 :
Total Pages : 2 pages
Book Rating : 4.:/5 (16 download)

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Book Synopsis Methods Document for the CDC and Bridging the Gap Local School Wellness Policy Briefs by : Centers for Disease Control and Prevention (DHHS/PHS)

Download or read book Methods Document for the CDC and Bridging the Gap Local School Wellness Policy Briefs written by Centers for Disease Control and Prevention (DHHS/PHS) and published by . This book was released on 2014 with total page 2 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Child Nutrition and WIC Reauthorization Act of 2004 and, more recently, the Healthy, Hunger-Free Kids Act of 2010 required all school districts participating in the federal Child Nutrition Programs (e.g., National School Lunch Program, School Breakfast Program, Special Milk Program, Afterschool Snack Program) to adopt and implement a local school wellness policy (i.e. wellness policy) beginning in school year 2006?-?2007. The wellness policies are required to include the following: (1) goals for nutrition promotion and education, physical activity (PA), and other activities that support student wellness; (2) nutrition guidelines for all foods and beverages available during the school day outside of school meals (i.e., competitive foods); (3) requirements to allow stakeholder involvement in policy development, implementation, and reporting and to update the community on policy content and implementation efforts; and (4) a provision to designate officials responsible for ensuring compliance. Bridging The Gap (BTG) provides the only nationally representative data on wellness policy progress and opportunities annually since the mandate took effect at the beginning of school year 2006?-?2007 along with the concomitant state laws. For the purposes of this study, "Wellness Policy" was defined to include the following: (1) the actual district wellness policy; (2) the associated administrative policies, including implementation regulations, rules, procedures, or administrative guidelines; and (3) any district, state, or other policies (e.g., state Board of Education model policies) that were incorporated by reference within the wellness policy or administrative documents.

Effects of State and Federal Legislation on a Sample of Local Public School District Wellness Policy Scores Over Time

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ISBN 13 :
Total Pages : 23 pages
Book Rating : 4.:/5 (95 download)

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Book Synopsis Effects of State and Federal Legislation on a Sample of Local Public School District Wellness Policy Scores Over Time by : Alexandra E. Kaufman

Download or read book Effects of State and Federal Legislation on a Sample of Local Public School District Wellness Policy Scores Over Time written by Alexandra E. Kaufman and published by . This book was released on 2014 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt: School district wellness policies (SDWP) may provide guidance to schools seeking to improve and maintain healthy learning environments throughout the United States. State and federal legislation and regulations influence the creation, maintenance, and revision of local SDWP. To examine the strength and comprehensiveness of local SDWP content categories, the changes in those characteristics over time, and the associations between changes in SDWP over time and concurrent changes to state and federal legislation and regulation. An observational sample of 19 SDWPs that were in effect over three periods between 2006 - 2014 within a single county of Washington State were scored using the Wellness School Assessment Tool (WellSAT). Content areas of strength and comprehensiveness were compared across time periods. Policy events were divided into three time periods: 2004-2006, 2006- 2010, and 2011-2014. All districts released a SDWP within the 2004-2006 time period when state and federal legislation required the adoption of the policies; in general, more districts updated policies between 2011 and 2014 when changes were required and policies were monitored by state education agencies than in the previous period when policy updates were suggested but not required. SDWP often did not meet recommendations for optimal school health. Because they influence the development and implementation of local school district wellness policies, changes to federal and state policies and practices offer opportunities to improve the daily environments of school children. This study demonstrates that clear and definitive legislative language is required to encourage positive change in SDWP.

Stakeholder Perspectives

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ISBN 13 :
Total Pages : 188 pages
Book Rating : 4.:/5 (111 download)

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Book Synopsis Stakeholder Perspectives by : Adrienne A. Wallace

Download or read book Stakeholder Perspectives written by Adrienne A. Wallace and published by . This book was released on 2018 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to explore attitudes and perception of stakeholders (teachers, principals, nutrition service directors, nutrition service supervisors, school nurses, nutrition specialists and administrators) toward the implementation of the local school wellness policy in public schools within Kent County, Michigan. The subjects of interest were stakeholders from more than 300 schools and 20 public school districts within the Kent Intermediate School District. Subjects responded to a survey assessing their perspectives regarding the implementation of the local school wellness policy pursuant to the Healthy Hunger-Free Kids Act of 2010 an Obama-era policy, the results were then examined using ANOVA and theoretical foundations of Policy Implementation Framework (PIF), Advocacy Coalition Framework (ACF), and Multiple Streams Model (MSM). In this study, the author identifies the perceptions of stakeholders to bring about a more effective understanding of the consequences of an unfunded mandate that fuels local school wellness policy in Kent County. This study fills a gap in nutrition policy literature at the local/district level and demonstrates that there is a perception that school employees/staff responsibilities were negatively impacted by the HHFKA and that local school wellness policy lacked proper implementation due mostly to lack of training for stakeholders.

Principals' Perceptions of Factors Associated with the Implementation of School Wellness Policies

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Total Pages : pages
Book Rating : 4.:/5 (86 download)

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Book Synopsis Principals' Perceptions of Factors Associated with the Implementation of School Wellness Policies by :

Download or read book Principals' Perceptions of Factors Associated with the Implementation of School Wellness Policies written by and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 1/3 of the children in the United States are overweight or obese. Children in Mississippi have the highest rate of obesity among all other states. The outcome of this epidemic presents an increase in poor health. To address the problems associated with overweight and obesity among children, schools in the U.S. were required to develop school wellness policies. School principals were identified as key individuals in overseeing the development and implementation of the policies. Existing research studies show a strong relationship or association between student health and academic achievement. The purpose of this research study was to investigate elementary school principals' perceptions related to the implementation of school wellness policies. The study sought to examine principals' perceptions regarding physical activity, child nutrition, health education, and general beliefs about school health policy implementation. A web-based survey was sent to 670 elementary school principals with 123 (18%) responding. The majority of the respondents were White females who had served four or more years as principals, had average enrollments of 500 students at their schools, and had school ratings of successful or high performing. Positive weak correlations were found to exist between school accountability ratings and principals' beliefs that physical activity promotes improved test scores and that physical activity and healthful nutrition promote increased school attendance. Positive weak correlations were also found between school accountability ratings and principals' beliefs that physical activity, child nutrition, and health education promote improved classroom behavior.

Facilitating Implementation of Wellness Programs in Three High-need Connecticut School Districts

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ISBN 13 :
Total Pages : 352 pages
Book Rating : 4.:/5 (88 download)

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Book Synopsis Facilitating Implementation of Wellness Programs in Three High-need Connecticut School Districts by : Kristen M. Chasse

Download or read book Facilitating Implementation of Wellness Programs in Three High-need Connecticut School Districts written by Kristen M. Chasse and published by . This book was released on 2012 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Educating the Student Body

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Publisher : National Academies Press
ISBN 13 : 0309283140
Total Pages : 503 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Educating the Student Body by : Committee on Physical Activity and Physical Education in the School Environment

Download or read book Educating the Student Body written by Committee on Physical Activity and Physical Education in the School Environment and published by National Academies Press. This book was released on 2013-11-13 with total page 503 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical inactivity is a key determinant of health across the lifespan. A lack of activity increases the risk of heart disease, colon and breast cancer, diabetes mellitus, hypertension, osteoporosis, anxiety and depression and others diseases. Emerging literature has suggested that in terms of mortality, the global population health burden of physical inactivity approaches that of cigarette smoking. The prevalence and substantial disease risk associated with physical inactivity has been described as a pandemic. The prevalence, health impact, and evidence of changeability all have resulted in calls for action to increase physical activity across the lifespan. In response to the need to find ways to make physical activity a health priority for youth, the Institute of Medicine's Committee on Physical Activity and Physical Education in the School Environment was formed. Its purpose was to review the current status of physical activity and physical education in the school environment, including before, during, and after school, and examine the influences of physical activity and physical education on the short and long term physical, cognitive and brain, and psychosocial health and development of children and adolescents. Educating the Student Body makes recommendations about approaches for strengthening and improving programs and policies for physical activity and physical education in the school environment. This report lays out a set of guiding principles to guide its work on these tasks. These included: recognizing the benefits of instilling life-long physical activity habits in children; the value of using systems thinking in improving physical activity and physical education in the school environment; the recognition of current disparities in opportunities and the need to achieve equity in physical activity and physical education; the importance of considering all types of school environments; the need to take into consideration the diversity of students as recommendations are developed. This report will be of interest to local and national policymakers, school officials, teachers, and the education community, researchers, professional organizations, and parents interested in physical activity, physical education, and health for school-aged children and adolescents.

Schools and Health

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Publisher : National Academies Press
ISBN 13 : 0309578582
Total Pages : 513 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Schools and Health by : Committee on Comprehensive School Health Programs in Grades K-12

Download or read book Schools and Health written by Committee on Comprehensive School Health Programs in Grades K-12 and published by National Academies Press. This book was released on 1997-12-09 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: Schools and Health is a readable and well-organized book on comprehensive school health programs (CSHPs) for children in grades K-12. The book explores the needs of today's students and how those needs can be met through CSHP design and development. The committee provides broad recommendations for CSHPs, with suggestions and guidelines for national, state, and local actions. The volume examines how communities can become involved, explores models for CSHPs, and identifies elements of successful programs. Topics include: The history of and precedents for health programs in schools. The state of the art in physical education, health education, health services, mental health and pupil services, and nutrition and food services. Policies, finances, and other elements of CSHP infrastructure. Research and evaluation challenges. Schools and Health will be important to policymakers in health and education, school administrators, school physicians and nurses, health educators, social scientists, child advocates, teachers, and parents.

The Future of Public Health

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Publisher : National Academies Press
ISBN 13 : 0309581907
Total Pages : 240 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis The Future of Public Health by : Committee for the Study of the Future of Public Health

Download or read book The Future of Public Health written by Committee for the Study of the Future of Public Health and published by National Academies Press. This book was released on 1988-01-15 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.